HomeMy WebLinkAbout131966 TRUGREEN LIMITED PARTNERSHIP - INSURANCE CERTIFICATE (7)l a DATE (MMIDDIYYYY)
,a� izo CERTIFICATE OF LIABILITY INSURANCE
/1/ F_24201717
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements .
PRODUCER CONTACT
NAME: JoAnn Warpool
Arthur J. Gallagher Risk Management Services, Inc. PHONE 615-377 5153 FAX 615-263-5853
5500 Maryland Wayy Suite 330 E-MAIL
Brentwood TN 37027 R s: JoAnn_Warpool@ajg.com
INSURED
TruGreen Limited Partnership
1790 Kirby Parkay
Forum II Tower
Memphis TN 38138
INSURER A: Commerce and Industry Insurance Company 19410
TRUGHOL-01 INSURER B: National Union Fire Insurance Company of 19445
INSURER c:New Hampshire Insurance Company 23841
INSURER D: Insurance Company of State of PA 19429
INSURER E :
rn1/CDAGCc (`CDTICICATG A11111ARFD• 545nR736n DFVICI()1U RII IMRPD-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS
LTR I S WVD POLICY NUMBER MMIDD/YYYY MM(DDIYYY
A
X
COMMERCIAL GENERAL LIABILITY
GL4611444
1/1/2018
1/1/2019
EACH OCCURRENCE
$3,000,000
CLAIMS -MADE X� OCCUR
$3,000,000
PREMISES (Ea occurrence)
X
MED EXP (Anyone person)
$5,000
Pest/Herb Appl
X
$1,000,000 Ded
PERSONAL & ADV INJURY
$3,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$20,000,000
POLICY PRO- F7X LOC
JECT
$In $20,000,000
PRODUCTS - COMPIOP AGG
$
OTHER:
B
B
B
AUTOMOBILE LIABILITY
X ANY AUTO
CA7093392
CA7093393
CA7093394
1/1/2018
1/1/2018
1/1/2018
1/1/2019
1/1/2019
1/1/2019
Ea accident
$5,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
X OWNED X SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
X AUTOS ONLY X AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
$
X $1000000 Ded
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
EXCESS LIAB
DED RETENTION $
$
C
D
�WORIKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PRO
OFFICER/MEMBER EXCLUDED? ECUTIVE N
(Mandatory in NH)
N I
WC013778995
WC013778989
1/1/2018
1/1/2018
1/1/2019
1/1/2019
X STATUTE ERH
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYE
_
$1,000,000
If yyees, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
1 $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
If required by written contract per forms listed, Certificate Holder is included as an Additional Insured under the General Liability per form
CG2010 04113 and CG2037 04/13 and Automobile Liability policies CA7093392-87950 9/14. and CA7093393 form MM9950 9198. Waiver of
Subrogation applies to the General Liability per form CG2404 5/09, Automobile Liability per form 62897 6/95 and Workers' Compensation
policies per form WC000313 4/84; WC420304B 6/14-TX; WC040361 11/90-CA. The General Liability policy is primary per forms 90534 3/06
or 83644 8112 if required by written contract and automobile policy# 74445 10/99. General Liability Coverage has Pesticide or Herbicide
Applicator Endorsement
See Attached...
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
P.O. Box 580
215 N. Mason Street, 3rd Floor
Fort Collins CO 80522-0580
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
DDITIONAL RE
Arthur i. Galianler & co.
POLICY NL*MER
see certificate
t0lz cobu
see certificate
ADDITIONAL REMARKS
ULL
NAMED INSURED
TruGreen Limited ParznesshiP
'AI'E: 01/01/2018
Page 2 of 3
Ti ISADDITIONAL REMARKS FORM ISA SCHEDULE TOACORD FORM,
FCRN NUMBER: ACORD25 FORM TITLE: eltificateof>Lab'_:_:yInsurance
INSURER(S) AFFORDING COVERAGE
NAIL#
INSURER
hNSURHk
INSURER
INSURER
ADDITIONAL POLICIES ifu policy below does not inc41ft limit information, refer to the corresponding policy on the ACORD
certificate form for policy limits,
IC1d_Y
I.;1�
TYPB CfF' INSURANCP
A➢DL
I�C'
S,UBR
%VD
POLICY NUMBER
EFFFCT. VE
DATL
(M{fUD/YYYYt
M'PTHATION
l?] M
(klifC/D/YYYY)
L::M_TS
C
WORKERS
COMPENSATION
NA
WC013778996
iL,KY,NC,NH UT,VT
01/01/2018
ms &
01/01/2019
SIR aDDlles Der volicv ter
condiitions
C
WORKERS
COMPENSATION
NIA
WC013778940
GA, VA
01/01/2018
Mr. &
01/01/2019
SIR aDtAes Der DDIIcv ter
conditions
C
WORKERS
COMPENSATION
NIA
WC013778997
NJ, PA
SIR
01/01/2018
&
MIS
conditions
01/01/2019
WORKERS
NIA
WC013778994
01/01/2018
01/0112019
C
COMPENSATION
CA
ms &
SIR applies per policy ter
conditions
C
WORKERS
COMPENSATION
NIA
------
IVVC013778991 `"`
FL
01/01/2018
ms &
01/01/2019
SIT applies per policy ter
conditions
C
WORKERS
COMPENSATION
NIA
WCO13778993
ND, OH, WA, WI, WY
01/01/2018
ms &
0110112019
SIR coolies oer aolicv ter
conditions
C
WORKERS
COMPENSATION
NIA
IIWC013778992
ME
01/01/2018
ms &
01/01/2019
SIR applies per policy ter
conditions
kcORD 101 (200N0i) 1." 2008 ACORD CORPORATION. Al rights reserved.
Trig ACORD ,wy. dnd k p era registared marks or ACORD
ADDITIONAL REMARKS SCHEDULE Pave of
AGENCY
Arthur J. Gallagher & co.
NAMM INSURED
TruGreen Limited Partnership
PODGY NU1.1SER
see certificate
CARnWrt 1NOYCCODE
Jer Lti l iiil:ai.r_
crraa. c--re.01/01/2018
ADDITIONAL REMARKS
THISADDITIO14AL REMARKS FORM ISA SCHEDULE TO ACORD FO M,
FORM NUMBER: ACORD 25 FORM TITLE; Ceaifi:ateof t:?L __:y Insurance
Adr!ftoal Oewipian d 57-trans 1 lacalinns IMahicles;
Additional Information
.*The Named Insured includes (but is not limited to):
TruGreen Holding corporation
'TruGreen, Inc.
TruGreen companies LLC
,TruGreen Limited Partnership
EG Systems, LLC
d/b/a Scotts Lawn Service
d/b/a Action Pest Control
d/b/a Ortho Pest Control
Outdoor Home Services, Inc.
ACORD 101 (2008101) +, 2008 ACORD CORPORATION AI{ rights reserved
The ACORD name and logo xv registered marks of ACCRO